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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808851
Report Date: 04/04/2020
Date Signed: 04/04/2020 09:16:55 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:STARTING BLOCKS CHILDREN'S ACADEMYFACILITY NUMBER:
103808851
ADMINISTRATOR:ERMELINDA PEREZFACILITY TYPE:
840
ADDRESS:3315 E SIERRA MADRETELEPHONE:
(559) 227-7036
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:21CENSUS: 0DATE:
04/04/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Ermelinda PerezTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Brannon met with director, Ermelinda Perez. Prior visits conducted on 11/1/19, 2/6/20 and 3/5/20.
There is one school age classroom. The restrooms, multi-purpose room and the preschool play yard is shared between the preschool and school age programs. License has requested waivers. Licensee has requested the capacity of 21 school age children.

There are two restrooms shared with the preschool children. The bathrooms are gender specific. The school age children use the restrooms one at a time and are able to close the restroom door. Staff verify that there is not a preschool child in the restroom before the school age child use the restroom.
The indoor square footage is 1319, which includes the one school age classroom and the shared multi-purpose room. The outdoor square footage for the shared preschool yard is 3065, and the outside school age play yard is large enough that measurements were not taken during today's visit. The inside and outside square footage will accommodate the requested capacity of 21 school age children.

A fire clearance was granted for 60 children; 39 preschool and 21 school age children.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 21 school age children.

To order forms, etc. visit our website at www.ccld.ca.gov.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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